RENTAL APPLICATION

3/42 Railway Parade Burwood NSW 2134Phone: 02 9744 7877 Fax: 02 9744 7977 admin@townandcountry.com.auwww.townandcountry.com.au

Disclaimer /AuthorityI, the said applicant, do solemnly and sincerely declare that the inforamtion contained in this application is true and correct and that all of the information was given of my own free will, I further consent to the lessor/agent contacting and/or conducting any enquiries and/or searches with regard to the information and references supplied in this application.

I, the said applicant, do solemnly and sincerely declare than I am over 18 years of age and have read and understood the contents of this agreement and have the competence and capacity to enter into this agreement.

I further more confirm and declare that:

1: I have inspected the property at 2. I have been informed, agree and understand that the rental price of the property is said to be $ per week is within

my means of support.3. I have been informed, agree and understand that the lessor/agent will carry out an inspection on the property on a 3

month basis and I further warrant that i will cooperate fully and allow this inspection to be carried on a 3 month basis.4. I have been informed, agree and understand that the rental bond for this property will be $ and I further authorise

the letting agent to all details regarding the lodgement of the said rental bond with the appropriate authority.5. I have been informed, agree and understand that the acceptance of my application is subject to a satisfactory report being

obtained from information supplied on the fully completed Tenancy Application submitted by me. I further consent to the agent carrying out any enquiries necessary to process my application of tenancy.

6. I have been informed, agree and understand should there be a requirement to commence proceedings for the recovery of rent, repairs and/or damage to the aforesaid property during the term or at then expiration of the tenancy agreemtn all costs associated with proceedings shall be able to be recovered from me.

7. I further consent to the agent disclosing all personal information that they may hold for the purpose of. a) Listing me name with a data base as a result of a tribunal order or multiple breach notices. b) Enforcing a tribunal order. c) Commencing recovery action in relation to any debt owed as a result of outstanding rent, repairs and/or damage

that occurred or occurs during me period on tenancy.8. I have been informed, agree and understand and consent to the agent supplying all necessary information, as may be

required to any tenancy data base/s that they use subject to the tenancy data base/s complying eith the provisions of the Privacy Act.

Applicants Name:

Applicants Signature: Dated: _______/________/_______

Residential Tenancy Application FormPlease fully complete and sign every page of this application. For your application to be processed it must be fully completed.

Please complete a separate form for each adult wanting to be party to the lease agreement

1.Property Applying for

Address:

Suburb: Postcode:

Lease term: Years Months

Date Property is to be occupied________/________/_________

Rent payable for property:

Names of other applicatants to occupy property:

Property manager name:

IN No.

2.If self-employed please complete the following

Company Name:

Company Address:

Suburb: Postcode:

Business type:

Position held:

ABN:

Accountant name:.

Accountant phone:.

Solicitor name:.

Solicitor phone:.

3.Personal Details

Title: First name:

Initial: Last name:

Lease term: Years Months

Date of Birth________/________/_________

Current Address:

Suburb: Postcode:

Drivers Licence Number:

State of issue:

Car Registration Number.

Alternate ID (eg Passport). No.

Pension Type: No.

Home Phone Number:

Mobile Phone Number:

Email:

Occupation:

Employers name:

Employers Phone Number:

Please provide a contact number you are available on all day

Contact Number:

Signed: Date____/_____/_____

4.Current Situation

Are you the : Owner RenterHow long have you lived at your current address: Years MonthsName of Landlord/Agent (if appicable) Phone Number:Rent paid per month:Reasons for leaving:

Was bond paid in full : Yes No, please specify

5.Previous Rental History

Were you the : Owner RenterPrevious Address:Suburb: Postcode:How long have you lived at your previous address: Years MonthsName of Landlord/Selling Agent Phone Number:Rent paid per month:Reasons for leaving:

Was bond paid in full : Yes No, please specify

6.Other Information

Number of persons occupying property: Adults ChildrenPlease specify ages of Children:Do you have pets: No Yes, please specify

7.Next of Kin

Emergency Contact RelationshipAddress:Phone Number:Mobile Number:Other:

8.Current Employment Details

Employment Address:Suburb: Postcode:Contact Name Length of current employment: Years MonthsNet income: $ Per week $ Per Month

9.Previous Employment Details

Occupation:Employers Name:Employment Address:Suburb: Postcode:

Employers Phone Number:Contact Name Length of previous employment: Years MonthsNet income: $ Per week $ Per Month

10.Personal References

1. Reference Name:Occupation:Relationship Phone2. Reference Name:Occupation:Relationship Phone

11.If Student, Please complete the following

Place of Study:Course being undertaken:Course length: Enrolment Number:Parents Name: PhoneCampus Contact: PhoneCourse Coordinator: PhoneIncome:Parents address overseas:

12.How did you find out about this property? (Please Circle)

RENT LIST NEWSPAPER WEB SITE OFFICE FOR LEASE BOARD OTHER

13.Declaration

I acknowledge that this is an application to lease this roperty and that my application is subject to the owners approval and the availability of the premises on the due date. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent pursuant to the Residential Tenancies Act 1997. I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt.

I authorise the agent to obtain details of my credit worthiness from the owner or agent of my current or previous residence, my personal referees, any record listing or database of defaults by tenants. if I default under a rental agreement, the agent may disclose details of any such default to any person whom the agent reasonably consid-ers has an interest receiving such information, this may include a tenancy database.

Signed: Date_____/______/_______

I/we do not intend to have a pet in or on the premises without permission in writing from the landlord or the agent.Declared this Date____/_____/____Applicant 1Applicant 21. The applicant undertakes to pay a reservation fee of $2. If the owner of the premises accepts this application the

reservation fee will be credited against rent.3. If the applicant decides not to take the premises after the

owner accepts this application the agent will retain the hold-ing fee in full.

Agents acknowledgment and agreement, no other reservation fee has been received for the premises.

I, the applicant do solemnly and sincerely declare that the above information is true and correct and that I have sup-plied this information of my own free will, I have inspected the above mentioned premises and wish to take a tenancy of such premises for a period of months from_____/______/______ at a rental of $ per week and that the rent to be paid is within my means, I also undertake to pay a rental Bond of $ upon signing by me of the tenancy agreement.

Applicant

Privacy StatementThe personal information you provide in this application or col-lected from other sources is necessary for the agent to verify the applicants identity to process and evaluate the application and to manage the tenancy. Personal information collected about the applicant in this application and during the course of the tenancy if the application is successful may be disclosed for the purpose for which it was collected to other parties including landlords and thier advisors, referees, other agents and third party aoperators of tenancy refernece databases.This privacy statement explains how the agent and owner use and disclose personal information which they hold about you and the privacy rights you have in relation to that information.A reference in the privacy statement to:How the owner and agent may use your personal information.The owner and agent may use your personal information in connection with:(a) their business, including in connection with:(b) the purchase development, sale, and leasing of land in-

cluding building.(c) the proposed sale of an interest in the owner or agents

business.(d) raising finance in connection with the matters specified in

parargraph (b)(e) the management of the building and the owners portfolio of

land(f) Internal reporting.(g) Reporting to related entities, financiers and advisers and,(h) direct marketing (such as newsletters) and,(i) the management and administration of the lease.(j) processing of application details through a tenancy data-

base.

To whom Owner and agent may disclose your personal informationThe owner and agent may disclose your personal information if they consider it is necessary to do so.(a) if required by law or(b) to any one or more of the following(c) their related entities(d) persons in connection with a proposed sale of an interest in

the owner or agents business (including purchases of the building)

(e) any agents engaged by the owner and notified to you.(f) contractors and services providers involved in the

management and maintenance of the building or any works in connection with the building.

(g) professional advisors in connection with the lease the premises or the building.

(h) the owners financiers(i) the owners corporation and if relevant the building

management committee for the building, any of whom may be located outside Australia.

(j) Tenancu Databases

Your rights: you need not give the agent any of the personal information it requests. However without information the owner and agent may not be able to provide you with the service you require. You may request access at anytime to personal information which the owner or agent hold about you and ask them to correct it if you believe it is incorrect or out of date.

Privacy Act AcknowledgmentI authorise you to give information to an obtain information from all credit providers and references named in this application.

I confirm that i have read and understand the privacy policy that the lessor/agent has made available to me.

I/we have been advised that a consumer affairs booklet can be obtained from the Office of Fair Trading or Rental Bond Office.Applicant 1 Signature Date____/_____/____Applicant 2 Signature Date____/_____/____In the presence of Date____/_____/____

Applicant identificationIt is a requirement that we are able to suitably identify you and listed below are some of the documents etc which would assist in this. NOTE: If you are not able to supply ‘100 check points’ please speak to the property manager.

Score - Circle points you are providingYour last 4 Rent Receipts 60Lasy 6 months tenants history 60Drivers licence 60Photo ID 60Passport 60Minimum two references from previous agent 20Car Rego, phone, gas, power bills 10Copy of birth certificate 10

Total points

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